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National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure–the Healthcare Quality and Access (HAQ) Index–on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0·88), an index of 11 universal health coverage interventions (r=0·83), and human resources for health per 1000 (r=0·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total fertility rates. This frontier allowed us to better quantify the maximum levels of personal health-care access and quality achieved across the development spectrum, and pinpoint geographies where gaps between observed and potential levels have narrowed or widened over time. Between 1990 and 2015, nearly all countries and territories saw their HAQ Index values improve; nonetheless, the difference between the highest and lowest observed HAQ Index was larger in 2015 than in 1990, ranging from 28·6 to 94·6. Of 195 geographies, 167 had statistically significant increases in HAQ Index levels since 1990, with South Korea, Turkey, Peru, China, and the Maldives recording among the largest gains by 2015. Performance on the HAQ Index and individual causes showed distinct patterns by region and level of development, yet substantial heterogeneities emerged for several causes, including cancers in highest-SDI countries; chronic kidney disease, diabetes, diarrhoeal diseases, and lower respiratory infections among middle-SDI countries; and measles and tetanus among lowest-SDI countries. While the global HAQ Index average rose from 40·7 (95% uncertainty interval, 39·0–42·8) in 1990 to 53·7 (52·2–55·4) in 2015, far less progress occurred in narrowing the gap between observed HAQ Index values and maximum levels achieved; at the global level, the difference between the observed and frontier HAQ Index only decreased from 21·2 in 1990 to 20·1 in 2015. If every country and territory had achieved the highest observed HAQ Index by their corresponding level of SDI, the global average would have been 73·8 in 2015. Several countries, particularly in eastern and western sub-Saharan Africa, reached HAQ Index values similar to or beyond their development levels, whereas others, namely in southern sub-Saharan Africa, the Middle East, and south Asia, lagged behind what geographies of similar development attained between 1990 and 2015. This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-system characteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world. Bill & Melinda Gates Foundation.

Angola s President has appointed Jose Pedro de Morais as governor of the National Bank of Angola (BNA), succeeding Jose de Lima Massano.

Angola's Reserve Bank has declared the introduction of a new family of banknotes and coins.

[Jose de Lima Massano] said the official, the retailers will get additional opportunities and options in deciding the price of the goods, avoiding rounding for values always higher because of the absence of small denomination series. He stressed that subsequent to the metallic coins, the bank will progressively circulate the banknotes, including 5000 Kwanzas.

Douglas Massano, 18, was found behind the science building of Rio Rancho High School on May 23 by a teacher, police said. The teacher said Massano was \"digging out a plant\" and attempted to hide underneath it when noticed, police said. Massano told the teacher he was digging up a marijuana plant in order to turn it over to the state, police said. Massano then told the assistant principal he was \"getting rid of the school marijuana problem,\" police said. The assistant principal also said Massano had a \"razor blade scraper.\" After being handcuffed, Massano \"blurted\" out his explanation, police said. Massano said he was informed by current students at the high school of a marijuana plant growing in the school landscaping, police said. Massano said he was going to dig it up and turn it over to the authorities.

Douglas Massano, 16, of Rio Rancho, was arrested Thursday afternoon in Albuquerque by Rio Rancho Department of Public Safety officers, according to Bernalillo County Juvenile Detention Center Director Tom Swisstack.

In an interview, Jose Massano answers many questions, such as Angola's inflation fell to less than 10% for the first time on record in August 2012. How did the Banco Nacional de Angola [BNA] help bring this about?

Samantha Massano was preparing to return for the fall semester at UW-Oshkosh as the hurricane swept through Louisiana and Mississippi. She was one of about 450 Wisconsin Guard members quickly mobilized to the hurricane-ravaged areas, and she has few regrets that her classes are going on without her. Massano, a member of the Oshkosh-based 1157th Transportation Company, and other soldiers at the Belle Chasse Naval Air Base outside New Orleans said emergencies like Hurricane Katrina are precisely why they signed up for service. [Patrick Sanford], also a member of the 132nd, left Friday on a convoy for a relief mission near New Orleans. Before leaving, he expressed no apprehension of getting a closer glimpse of the devastation [KATRINA] wreaked on the city.

Through the work-study program at ECC, [Jennifer Massano] has gained valuable experience. During the week from 9 a.m. to 5 p.m. Massano executes several responsibilities including cutting and working on projects, maintaining and monitoring the lab and equipment for students, and assisting the program's instructors. So far, Massano said the experience is paying off. Her kids love the fact that their mother does something different. When she's not welding T-joints, running saws, drills and sheers, Massano spends as much time as she can with her sons, Vincent and Zachary. Elgin resident Jennifer Massano, 26, is studying to be a welder at Elgin Community College's Advanced Technology Center. The school offers a welding technology program with several certifications. Dave Tonge/Daily Herald massano_2na0122elgDT At left, for a woman, welding is an unconventional career choice. That doesn't phase Jennifer Massano, the mother of two sons. Dave Tonge/Daily Herald

Despite growth, Angola's banking system was until recently unsophisticated, with lenders making the bulk of their earnings from government bonds rather than growing their loan books, e-payments being all too rare, and the regulatory framework far below international standards. However, plenty of progress has been made in the past three years towards creating a more mature banking sector.